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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

CURRY GENERAL HOSPITAL

Gold Beach, OR · CCN 381322 · Rates published

2,562 distinct procedures filed
49 distinct payers
287,876 rate rows
2026-01-01 last MRF observed
Data quality

135,570 of 287,876 rate rows are consumer-grade (47.1%)

152,306 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 146,011
per-diem day rate — not a per-procedure price 4,250
exceeds 10× this hospital's gross charge — excluded from medians 1,490
placeholder amount (≤ $0.02) — excluded from medians 303
percent-of-charges filed in the dollar field — excluded from medians 176
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 76
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.curryhealthnetwork.com/docs/930937095_CURRYGENERALHOSPITAL_STANDARDCHARGES.csv
Found on page https://www.curryhealthnetwork.com/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-20
Content fingerprint e0eb0ffe10d36e11… · 102,087,330 bytes · first seen 2026-05-06

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3357
HCPCS 		Ustekinumab 90 Mg/ml Subq Sosy 43 $11,223.00 $73,481.00 $69,806.95 nat. median
$14,744
outlier · 4.7×
J2350
HCPCS 		Ocrelizumab 300 Mg/10ml IV Soln 41 $14,106.00 $56,479.00 $54,502.24 nat. median
$470
outlier · 116.0×
Q4309
HCPCS 		Via Matrix Per Sq Cm 42 $12,750.40 $52,000.00 $49,400.00 nat. median
$1,467
outlier · 33.7×
J3241
HCPCS 		Teprotumumab-trbw 500 Mg IV Solr 43 $12,309.29 $50,201.00 $47,690.95 nat. median
$729
outlier · 65.4×
J9334
HCPCS 		Efgartigimod Alfa-hyalur-qvfc 180-2000 Mg-unit/ml Subq Soln 41 $13,345.92 $46,605.00 $44,973.82 nat. median
$83
outlier · 543.0×
Q4283
HCPCS 		Biovance 3l Tri-layer Human Amniotic Mem 41 $957.55 $32,000.00 $30,880.00 nat. median
$686
outlier · 45.0×
J1950
HCPCS 		Leuprolide Acetate (ped)(3mon) 11.25 Mg IM Kit 42 $4,000.26 $29,757.00 $28,269.15 nat. median
$3,902
outlier · 7.2×
J3380
HCPCS 		Vedolizumab 300 Mg IV Solr 41 $5,202.00 $26,077.00 $25,164.31 nat. median
$162
outlier · 155.3×
SUP-ABS-2090-10
CDM 		Arthrocell Plus Allograft, 10cc 38 $7,784.00 $25,000.00 $24,500.00 nat. median
$21,060
1.2× median
J2327
HCPCS 		Risankizumab-rzaa 600 Mg/10ml IV Soln 41 $6,232.46 $23,122.00 $22,312.73 nat. median
$2,076
outlier · 10.7×
J2323
HCPCS 		Natalizumab 300 Mg/15ml IV Conc 41 $5,730.00 $21,571.00 $20,816.01 nat. median
$197
outlier · 105.5×
J3101
HCPCS 		Tenecteplase 50 Mg IV Kit 40 $6,497.00 $21,911.00 $20,503.56 nat. median
$3,820
outlier · 5.4×
SUP-ABS-4200-038
CDM 		Amnion Thick 3x8 38 $5,708.79 $18,335.00 $17,968.30 nat. median
$11,824
1.5× median
J2353
HCPCS 		Octreotide Acetate 30 Mg IM Kit 41 $5,241.00 $17,570.00 $16,955.05 nat. median
$5,573
outlier · 3.0×
J0717
HCPCS 		Certolizumab Pegol 200 Mg/ml Subq Pskt 41 $1,248.00 $15,876.00 $15,320.34 nat. median
$1,598
outlier · 9.6×
J0491
HCPCS 		Anifrolumab-fnia 300 Mg/2ml IV Soln 41 $4,096.46 $14,887.00 $14,365.95 nat. median
$65
outlier · 222.3×
J1932
HCPCS 		Lanreotide Acetate 120 Mg/0.5ml Subq Soln 41 $2,938.46 $13,055.00 $12,598.08 nat. median
$113
outlier · 111.4×
Q4282
HCPCS 		Cygnus Dual Amniotic Allograft 2x3cm 43 $486.78 $28,125.00 $12,178.13 nat. median
$638
outlier · 19.1×
J1162
HCPCS 		Digoxin Immune Fab 40 Mg IV Solr 43 $3,075.30 $12,542.00 $11,914.90 nat. median
$7,141
1.7× median
J0565
HCPCS 		Bezlotoxumab 1000 Mg/40ml IV Soln 41 $3,190.00 $10,398.00 $10,034.07 nat. median
$159
outlier · 63.0×
J1306
HCPCS 		Inclisiran Sodium 284 Mg/1.5ml Subq Sosy 41 $2,962.28 $9,514.00 $9,181.01 nat. median
$44
outlier · 207.9×
SUP-AR-8942W-1808
CDM 		Biosync Evans Wedge, 18 X 18 X 8 Mm 38 $2,848.17 $9,147.50 $8,964.55 nat. median
$8,041
1.1× median
J2182
HCPCS 		Mepolizumab 100 Mg Subq Solr 41 $2,455.00 $10,692.00 $8,853.32 nat. median
$2,791
outlier · 3.2×
73220
CPT 		MRI Scan Of Arm Before And After Contrast 43 $343.53 $7,945.00 $7,547.75 nat. median
$1,130
outlier · 6.7×
73223
CPT 		MRI Scan Of Arm Joint Before And After Contrast 43 $316.88 $7,713.00 $7,327.35 nat. median
$1,158
outlier · 6.3×
70553
CPT 		MRI Scan Of Brain Before And After Contrast 43 $236.92 $7,683.00 $7,298.85 nat. median
$1,133
outlier · 6.4×
70543
CPT 		MRI Scan Of Bone Of Eye Socket, Face, And/or Neck 43 $266.26 $7,679.00 $7,295.05 nat. median
$1,083
outlier · 6.7×
70546
CPT 		MRI Scan Of Blood Vessels Of Head Before And After Contrast 43 $291.44 $7,637.00 $7,255.15 nat. median
$1,070
outlier · 6.8×
71552
CPT 		MRI Scan Of Chest Before And After Contrast 43 $405.51 $7,637.00 $7,255.15 nat. median
$1,097
outlier · 6.6×
74174
CPT 		CT Scan Of Blood Vessels Of Abdomen And Pelvis W/contrast 43 $310.15 $7,577.00 $7,198.15 nat. median
$988
outlier · 7.3×
73720
CPT 		MRI Scan Of Leg Before And After Contrast 43 $263.70 $7,345.00 $6,977.75 nat. median
$1,129
outlier · 6.2×
J3111
HCPCS 		Romosozumab-aqqg 105 Mg/1.17ml Subq Sosy 41 $2,239.61 $7,193.00 $6,941.25 nat. median
$681
outlier · 10.2×
72158
CPT 		MRI Scan Of Lower Spinal Canal Before And After Contrast 43 $236.92 $7,208.00 $6,847.60 nat. median
$1,093
outlier · 6.3×
72197
CPT 		MRI Scan Of Pelvis Before And After Contrast 43 $261.13 $7,167.00 $6,808.65 nat. median
$1,063
outlier · 6.4×
J0401
HCPCS 		Aripiprazole ER 400 Mg IM Prsy 41 $2,188.55 $7,029.00 $6,782.99 nat. median
$1,939
outlier · 3.5×
44141
CPT 		Hc Pr 44141 Partial Removal Of Colon, With Skin Level Cecostomy Or Colos 42 $1,886.98 $6,992.00 $6,642.40 nat. median
$3,120
outlier · 2.1×
70549
CPT 		MRI Scan Of Blood Vessels Of Neck Before And After Contrast 43 $292.54 $6,784.00 $6,444.80 nat. median
$1,055
outlier · 6.1×
Q4194
HCPCS 		Novachor 1 Sq Cm 43 $858.92 $6,750.00 $6,412.50 nat. median
$820
outlier · 7.8×
73723
CPT 		MRI Scan Of Leg Joint Before And After Contrast 43 $315.78 $6,575.00 $6,246.25 nat. median
$1,192
outlier · 5.2×
44626
CPT 		Hc Pr 44626 Repair Bowel Opening, Hartmann Method 42 $1,654.78 $6,270.00 $5,956.50 nat. median
$3,019
2.0× median
49020
CPT 		Hc Pr 49020 Drain Abdominal Abscess, Open 42 $1,668.54 $6,235.00 $5,923.25 nat. median
$2,743
outlier · 2.2×
74178
CPT 		CT Scan Of Abdomen And Pelvis Before And After Contrast 43 $273.23 $6,229.00 $5,917.55 nat. median
$1,024
outlier · 5.8×
44143
CPT 		Hc Pr 44143 Partial Removal Of Colon, Hartmann Procedure 42 $1,719.39 $6,222.00 $5,910.90 nat. median
$3,003
2.0× median
44204
CPT 		Hc Pr 44204 Laparoscopy Partial Colectomy 42 $1,602.79 $5,916.00 $5,620.20 nat. median
$3,592
1.6× median
J1459
HCPCS 		Privigen 10 Gm/100ml IV Soln 41 $788.40 $12,615.00 $5,462.30 nat. median
$1,388
outlier · 3.9×
44202
CPT 		Laparoscopy, Surgical; Enterectomy, Resection Of Small Intestine 42 $1,448.54 $5,457.00 $5,184.15 nat. median
$3,804
1.4× median
J1602
HCPCS 		Golimumab 50 Mg/4ml IV Soln 41 $332.96 $5,367.00 $5,179.15 nat. median
$273
outlier · 19.0×
J3032
HCPCS 		Eptinezumab-jjmr 100 Mg/ml IV Soln 41 $1,543.46 $5,309.00 $5,123.18 nat. median
$76
outlier · 67.8×
43840
CPT 		Hc Pr 43840 Repair Of Stomach Lesion 42 $1,422.43 $5,324.00 $5,057.80 nat. median
$3,644
1.4× median
75635
CPT 		CT Scan Of Abdominal Aorta And Both Leg Arteries W/contrast 43 $335.82 $5,317.00 $5,051.15 nat. median
$722
outlier · 7.0×

Other procedures at this hospital

Browse this hospital's 2,562 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3357 HCPCS Ustekinumab 90 Mg/ml Subq Sosy 48 43 $70,198.00 $70,198.00 $11,223.00 $73,481.00 $69,806.95 2026-01-01
J2350 HCPCS Ocrelizumab 300 Mg/10ml IV Soln 46 41 $53,405.00 $53,405.00 $14,106.00 $56,479.00 $54,502.24 2026-01-01
Q4309 HCPCS Via Matrix Per Sq Cm 47 42 $52,000.00 $52,000.00 $12,750.40 $52,000.00 $49,400.00 2026-01-01
J3241 HCPCS Teprotumumab-trbw 500 Mg IV Solr 48 43 $50,201.00 $50,201.00 $12,309.29 $50,201.00 $47,690.95 2026-01-01
J9334 HCPCS Efgartigimod Alfa-hyalur-qvfc 180-2000 Mg-unit/ml Subq Soln 46 41 $43,376.00 $43,376.00 $13,345.92 $46,605.00 $44,973.82 2026-01-01
Q4283 HCPCS Biovance 3l Tri-layer Human Amniotic Mem 46 41 $32,000.00 $32,000.00 $957.55 $32,000.00 $30,880.00 2026-01-01
J1950 HCPCS Leuprolide Acetate (ped)(3mon) 11.25 Mg IM Kit 47 42 $29,757.00 $29,757.00 $4,000.26 $29,757.00 $28,269.15 2026-01-01
J3380 HCPCS Vedolizumab 300 Mg IV Solr 46 41 $23,714.00 $23,714.00 $5,202.00 $26,077.00 $25,164.31 2026-01-01
SUP-ABS-2090-10 CDM Arthrocell Plus Allograft, 10cc 43 38 $25,000.00 $25,000.00 $7,784.00 $25,000.00 $24,500.00 2026-01-01
J2327 HCPCS Risankizumab-rzaa 600 Mg/10ml IV Soln 46 41 $23,122.00 $23,122.00 $6,232.46 $23,122.00 $22,312.73 2026-01-01
J2323 HCPCS Natalizumab 300 Mg/15ml IV Conc 46 41 $22,576.00 $22,576.00 $5,730.00 $21,571.00 $20,816.01 2026-01-01
J3101 HCPCS Tenecteplase 50 Mg IV Kit 90 40 $20,922.00 $20,922.00 $6,497.00 $21,911.00 $20,503.56 2026-01-01
SUP-ABS-4200-038 CDM Amnion Thick 3x8 43 38 $18,335.00 $18,335.00 $5,708.79 $18,335.00 $17,968.30 2026-01-01
J2353 HCPCS Octreotide Acetate 30 Mg IM Kit 46 41 $17,254.00 $17,254.00 $5,241.00 $17,570.00 $16,955.05 2026-01-01
J0717 HCPCS Certolizumab Pegol 200 Mg/ml Subq Pskt 46 41 $7,102.00 $7,102.00 $1,248.00 $15,876.00 $15,320.34 2026-01-01
J0491 HCPCS Anifrolumab-fnia 300 Mg/2ml IV Soln 46 41 $14,887.00 $14,887.00 $4,096.46 $14,887.00 $14,365.95 2026-01-01
J1932 HCPCS Lanreotide Acetate 120 Mg/0.5ml Subq Soln 46 41 $15,380.00 $15,380.00 $2,938.46 $13,055.00 $12,598.08 2026-01-01
Q4282 HCPCS Cygnus Dual Amniotic Allograft 2x3cm 144 43 $18,500.00 $18,500.00 $486.78 $28,125.00 $12,178.13 2026-01-01
J1162 HCPCS Digoxin Immune Fab 40 Mg IV Solr 48 43 $12,059.00 $12,059.00 $3,075.30 $12,542.00 $11,914.90 2026-01-01
J0565 HCPCS Bezlotoxumab 1000 Mg/40ml IV Soln 46 41 $10,398.00 $10,398.00 $3,190.00 $10,398.00 $10,034.07 2026-01-01
J1306 HCPCS Inclisiran Sodium 284 Mg/1.5ml Subq Sosy 46 41 $9,253.00 $9,253.00 $2,962.28 $9,514.00 $9,181.01 2026-01-01
SUP-AR-8942W-1808 CDM Biosync Evans Wedge, 18 X 18 X 8 Mm 43 38 $9,147.50 $9,147.50 $2,848.17 $9,147.50 $8,964.55 2026-01-01
J2182 HCPCS Mepolizumab 100 Mg Subq Solr 92 41 $9,034.00 $9,034.00 $2,455.00 $10,692.00 $8,853.32 2026-01-01
73220 CPT MRI Scan Of Arm Before And After Contrast 50 43 $7,567.00 $7,567.00 $343.53 $7,945.00 $7,547.75 2026-01-01
73223 CPT MRI Scan Of Arm Joint Before And After Contrast 50 43 $7,346.00 $7,346.00 $316.88 $7,713.00 $7,327.35 2026-01-01
70553 CPT MRI Scan Of Brain Before And After Contrast 50 43 $7,317.00 $7,317.00 $236.92 $7,683.00 $7,298.85 2026-01-01
70543 CPT MRI Scan Of Bone Of Eye Socket, Face, And/or Neck 50 43 $7,313.00 $7,313.00 $266.26 $7,679.00 $7,295.05 2026-01-01
70546 CPT MRI Scan Of Blood Vessels Of Head Before And After Contrast 50 43 $7,273.00 $7,273.00 $291.44 $7,637.00 $7,255.15 2026-01-01
71552 CPT MRI Scan Of Chest Before And After Contrast 50 43 $7,273.00 $7,273.00 $405.51 $7,637.00 $7,255.15 2026-01-01
74174 CPT CT Scan Of Blood Vessels Of Abdomen And Pelvis W/contrast 50 43 $7,216.00 $7,216.00 $310.15 $7,577.00 $7,198.15 2026-01-01
73720 CPT MRI Scan Of Leg Before And After Contrast 50 43 $6,995.00 $6,995.00 $263.70 $7,345.00 $6,977.75 2026-01-01
J3111 HCPCS Romosozumab-aqqg 105 Mg/1.17ml Subq Sosy 46 41 $6,851.00 $6,851.00 $2,239.61 $7,193.00 $6,941.25 2026-01-01
72158 CPT MRI Scan Of Lower Spinal Canal Before And After Contrast 50 43 $6,865.00 $6,865.00 $236.92 $7,208.00 $6,847.60 2026-01-01
72197 CPT MRI Scan Of Pelvis Before And After Contrast 50 43 $6,826.00 $6,826.00 $261.13 $7,167.00 $6,808.65 2026-01-01
J0401 HCPCS Aripiprazole ER 400 Mg IM Prsy 46 41 $7,029.00 $7,029.00 $2,188.55 $7,029.00 $6,782.99 2026-01-01
44141 CPT Hc Pr 44141 Partial Removal Of Colon, With Skin Level Cecostomy Or Colos 48 42 $6,659.00 $6,659.00 $1,886.98 $6,992.00 $6,642.40 2026-01-01
70549 CPT MRI Scan Of Blood Vessels Of Neck Before And After Contrast 50 43 $6,461.00 $6,461.00 $292.54 $6,784.00 $6,444.80 2026-01-01
Q4194 HCPCS Novachor 1 Sq Cm 48 43 $6,750.00 $6,750.00 $858.92 $6,750.00 $6,412.50 2026-01-01
73723 CPT MRI Scan Of Leg Joint Before And After Contrast 50 43 $6,262.00 $6,262.00 $315.78 $6,575.00 $6,246.25 2026-01-01
44626 CPT Hc Pr 44626 Repair Bowel Opening, Hartmann Method 48 42 $5,971.00 $5,971.00 $1,654.78 $6,270.00 $5,956.50 2026-01-01
49020 CPT Hc Pr 49020 Drain Abdominal Abscess, Open 48 42 $5,938.00 $5,938.00 $1,668.54 $6,235.00 $5,923.25 2026-01-01
74178 CPT CT Scan Of Abdomen And Pelvis Before And After Contrast 50 43 $5,932.00 $5,932.00 $273.23 $6,229.00 $5,917.55 2026-01-01
44143 CPT Hc Pr 44143 Partial Removal Of Colon, Hartmann Procedure 48 42 $5,926.00 $5,926.00 $1,719.39 $6,222.00 $5,910.90 2026-01-01
44204 CPT Hc Pr 44204 Laparoscopy Partial Colectomy 48 42 $5,634.00 $5,634.00 $1,602.79 $5,916.00 $5,620.20 2026-01-01
J1459 HCPCS Privigen 10 Gm/100ml IV Soln 138 41 $3,154.00 $3,154.00 $788.40 $12,615.00 $5,462.30 2026-01-01
44202 CPT Laparoscopy, Surgical; Enterectomy, Resection Of Small Intestine 48 42 $5,197.00 $5,197.00 $1,448.54 $5,457.00 $5,184.15 2026-01-01
J1602 HCPCS Golimumab 50 Mg/4ml IV Soln 46 41 $5,038.00 $5,038.00 $332.96 $5,367.00 $5,179.15 2026-01-01
J3032 HCPCS Eptinezumab-jjmr 100 Mg/ml IV Soln 46 41 $5,309.00 $5,309.00 $1,543.46 $5,309.00 $5,123.18 2026-01-01
43840 CPT Hc Pr 43840 Repair Of Stomach Lesion 48 42 $5,070.00 $5,070.00 $1,422.43 $5,324.00 $5,057.80 2026-01-01
75635 CPT CT Scan Of Abdominal Aorta And Both Leg Arteries W/contrast 50 43 $5,064.00 $5,064.00 $335.82 $5,317.00 $5,051.15 2026-01-01
58554 CPT Hc Pr 58554 Laparo-vaginal Hysterectomy With Tubes/Ovary(S) Complex 48 42 $4,929.00 $4,929.00 $1,378.41 $5,175.00 $4,916.25 2026-01-01
74183 CPT MRI Scan Of Abdomen Before And After Contrast 50 43 $4,929.00 $4,929.00 $262.60 $5,175.00 $4,916.25 2026-01-01
J0897 HCPCS Denosumab 60 Mg/ml Subq Sosy 46 41 $4,504.00 $4,504.00 $1,327.80 $5,039.00 $4,862.64 2026-01-01
74177 CPT CT Scan Of Abdomen And Pelvis With Contrast 50 43 $4,863.00 $4,863.00 $242.18 $5,106.00 $4,850.70 2026-01-01
44140 CPT Hc Pr 44140 Partial Removal Of Colon With Anastomosis 48 42 $4,786.00 $4,786.00 $1,402.77 $5,025.00 $4,773.75 2026-01-01
72157 CPT MRI Scan Of Middle Spinal Canal Before And After Contrast 50 43 $4,778.00 $4,778.00 $238.39 $5,017.00 $4,766.15 2026-01-01
72127 CPT CT Scan Of Upper Spine Before And After Contrast 50 43 $4,578.00 $4,578.00 $153.79 $4,807.00 $4,566.65 2026-01-01
J0180 HCPCS Agalsidase Beta 35 Mg IV Solr 92 41 $11,316.50 $11,316.50 $880.84 $19,804.00 $4,497.59 2026-01-01
44160 CPT Hc Pr 44160 Removal Of Colon, Partial 48 42 $4,456.00 $4,456.00 $1,299.28 $4,679.00 $4,445.05 2026-01-01
27447 CPT Hc Pr 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments 48 42 $4,434.00 $4,434.00 $1,363.28 $4,656.00 $4,423.20 2026-01-01
27130 CPT Hc Pr 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft 48 42 $4,434.00 $4,434.00 $1,364.97 $4,656.00 $4,423.20 2026-01-01
44120 CPT Hc Pr 44120 Removal Of Small Intestine, Single Resection 48 42 $4,413.00 $4,413.00 $1,275.91 $4,634.00 $4,402.30 2026-01-01
38100 CPT Hc Pr 38100 Removal Of Spleen Total 48 42 $4,344.00 $4,344.00 $1,201.70 $4,561.00 $4,332.95 2026-01-01
44188 CPT Hc Pr 44188 Laparoscopy Colostomy 48 42 $4,306.00 $4,306.00 $1,271.16 $4,521.00 $4,294.95 2026-01-01
C1886 HCPCS System Thermoablation W/bipolar Electrode Novasure Strl (1bx/3ea) 45 40 $4,382.40 $4,382.40 $1,364.50 $4,382.40 $4,294.75 2026-01-01
72149 CPT MRI Scan Of Lower Spinal Canal With Contrast 50 43 $4,301.00 $4,301.00 $208.68 $4,516.00 $4,290.20 2026-01-01
72196 CPT MRI Scan Of Pelvis With Contrast 50 43 $4,249.00 $4,249.00 $210.15 $4,461.00 $4,237.95 2026-01-01
37616 CPT Hc Pr 37616 Ligation Of Chest Artery 48 42 $4,216.00 $4,216.00 $1,184.09 $4,427.00 $4,205.65 2026-01-01
73222 CPT MRI Scan Of Arm Joint With Contrast 50 43 $4,149.00 $4,149.00 $262.23 $4,356.00 $4,138.20 2026-01-01
74176 CPT CT Scan Of Abdomen And Pelvis Without Contrast 50 43 $4,147.00 $4,147.00 $114.91 $4,354.00 $4,136.30 2026-01-01
Q5111 HCPCS Pegfilgrastim-cbqv 6 Mg/0.6ml Subq Sosy 46 41 $4,287.00 $4,287.00 $1,334.49 $4,286.00 $4,135.99 2026-01-01
72156 CPT MRI Scan Of Upper Spinal Canal Before And After Contrast 50 43 $4,128.00 $4,128.00 $237.66 $4,334.00 $4,117.30 2026-01-01
35226 CPT Hc Ed Rpr Blood Vessel Direct Lower Extremity Cdm 48 43 $4,056.00 $4,056.00 $1,106.54 $4,259.00 $4,046.05 2026-01-01
27245 CPT Hc Pr 27245 Tx Inter/PR/Subtrchntric Fem Fx Imed Implt Screw Cdm 48 42 $4,048.00 $4,048.00 $1,307.74 $4,250.00 $4,037.50 2026-01-01
19306 CPT Hc Pr 19306 Mast Rad Urban Type 48 42 $4,043.00 $4,043.00 $1,286.78 $4,245.00 $4,032.75 2026-01-01
27244 CPT Tx Femoral Fracture W/Plate/Screw Type Implant 48 42 $4,040.00 $4,040.00 $1,309.31 $4,242.00 $4,029.90 2026-01-01
71275 CPT CT Blood Vessels Chest With Contrast 50 43 $4,036.00 $4,036.00 $220.42 $4,238.00 $4,026.10 2026-01-01
J0129 HCPCS Abatacept 250 Mg IV Solr 46 41 $3,688.00 $3,688.00 $876.00 $4,165.00 $4,019.22 2026-01-01
73202 CPT CT Scan Of Arm Before And After Contrast 50 43 $3,927.00 $3,927.00 $211.98 $4,123.00 $3,916.85 2026-01-01
74175 CPT CT Scan Of Blood Vessels Of Arm With Contrast 50 43 $3,926.00 $3,926.00 $247.19 $4,122.00 $3,915.90 2026-01-01
44005 CPT Hc Pr 44005 Freeing Of Bowel Adhesion 48 42 $3,913.00 $3,913.00 $1,140.99 $4,109.00 $3,903.55 2026-01-01
19307 CPT Hc Pr 19307 Mast Mod Rad 48 42 $3,901.00 $3,901.00 $1,241.52 $4,096.00 $3,891.20 2026-01-01
73702 CPT CT Scan Of Leg Before And After Contrast 50 43 $3,899.00 $3,899.00 $155.26 $4,094.00 $3,889.30 2026-01-01
44187 CPT Hc Pr 44187 Lap Ileo/jejuno-stomy 48 42 $3,865.00 $3,865.00 $1,146.56 $4,058.00 $3,855.10 2026-01-01
Q4196 HCPCS Hc Dressing Biological Puraply Am-com Sheet 5x5cm 25sqcm 144 43 $9,041.00 $9,041.00 $103.77 $9,180.00 $3,846.25 2026-01-01
50020 CPT Hc Pr 50020 Drainage Perirenal/Renal Abscess Open Cdm 48 42 $3,791.00 $3,791.00 $1,081.71 $3,981.00 $3,781.95 2026-01-01
J1439 HCPCS Ferric Carboxymaltose 750 Mg/15ml IV Soln 46 41 $3,511.00 $3,511.00 $1.14 $3,919.00 $3,781.84 2026-01-01
70492 CPT CT Scan Of Soft Tissue Of Neck Before And After Contrast 50 43 $3,790.00 $3,790.00 $162.96 $3,980.00 $3,781.00 2026-01-01
27236 CPT Hc Pr 27236 Optx Fem Fx Prox End Nck Int Fixj/Prostc Rplcmt 48 42 $3,770.00 $3,770.00 $1,232.67 $3,959.00 $3,761.05 2026-01-01
44310 CPT Hc Pr 44310 Ileostomy/Jejunostomy 48 42 $3,752.00 $3,752.00 $1,090.00 $3,940.00 $3,743.00 2026-01-01
C1052 HCPCS Endoclot Phs Powder 3g Vial With Applicator 135 40 $3,875.00 $3,875.00 $1,158.26 $6,000.00 $3,720.00 2026-01-01
72142 CPT MRI Scan Of Upper Spinal Canal With Contrast 50 43 $3,729.00 $3,729.00 $213.82 $3,915.00 $3,719.25 2026-01-01
47600 CPT Hc Pr 47600 Cholecystectomy 48 42 $3,729.00 $3,729.00 $1,124.19 $3,915.00 $3,719.25 2026-01-01
73219 CPT MRI Scan Of Arm With Contrast 50 43 $3,729.00 $3,729.00 $283.87 $3,915.00 $3,719.25 2026-01-01
73722 CPT MRI Scan Of Leg Joint With Contrast 50 43 $3,729.00 $3,729.00 $264.06 $3,915.00 $3,719.25 2026-01-01
70482 CPT CT Scan Of Cranial Cavity Before And After Contrast 50 43 $3,729.00 $3,729.00 $168.83 $3,915.00 $3,719.25 2026-01-01
72147 CPT MRI Scan Of Middle Spinal Canal With Contrast 50 43 $3,729.00 $3,729.00 $211.61 $3,915.00 $3,719.25 2026-01-01
71551 CPT MRI Scan Of Chest With Contrast 50 43 $3,729.00 $3,729.00 $326.78 $3,915.00 $3,719.25 2026-01-01
47605 CPT Hc Pr 47605 Cholecystectomy With Cholangiography 48 42 $3,729.00 $3,729.00 $1,181.33 $3,915.00 $3,719.25 2026-01-01
44180 CPT Hc Pr 44180 Laparoscopy Enterolysis 48 42 $3,724.00 $3,724.00 $964.58 $3,910.00 $3,714.50 2026-01-01
SUP-FANT-SL CDM All Inside Ant Tib Ten Sl Frozen 43 38 $3,759.90 $3,759.90 $1,170.68 $3,759.90 $3,684.70 2026-01-01
44345 CPT Hc Pr 44345 Revision Of Colostomy, Complicated 48 42 $3,686.00 $3,686.00 $1,105.62 $3,870.00 $3,676.50 2026-01-01
70488 CPT CT Scan Of Face Before And After Contrast 50 43 $3,673.00 $3,673.00 $139.85 $3,857.00 $3,664.15 2026-01-01
PX-75010318 CDM Hc Endoscopy/Gastrointestinal Procedure Level 4 45 40 $3,560.00 $3,560.00 $729.66 $3,738.00 $3,663.24 2026-01-01
PX-75010319 CDM Hc Endoscopy/Gastrointestinal Procedure Level 5 45 40 $3,560.00 $3,560.00 $729.66 $3,738.00 $3,663.24 2026-01-01
PX-75010272 CDM Hc Endoscopy/Gastrointestinal Procedure Level 6 45 40 $3,560.00 $3,560.00 $729.66 $3,738.00 $3,663.24 2026-01-01
15830 CPT Hc Pr 15830 Exc Skin Abd 48 42 $3,662.00 $3,662.00 $1,197.18 $3,845.00 $3,652.75 2026-01-01
Q4101 HCPCS Hc Allograft Tissue Apligraf 3x3in 47 42 $3,245.00 $3,245.00 $937.89 $3,825.00 $3,633.75 2026-01-01
Q4159 HCPCS Hc Allograft Tissue Affinity 2.5x2.5cm 48 43 $6,623.00 $6,623.00 $175.45 $3,825.00 $3,633.75 2026-01-01
74182 CPT MRI Scan Of Abdomen With Contrast 50 43 $3,639.00 $3,639.00 $247.56 $3,821.00 $3,629.95 2026-01-01
58552 CPT Hc Pr 58552 Laparo-vaginal Hysterectomy Incl Tubes/Ovary(S) 48 42 $3,607.00 $3,607.00 $1,040.72 $3,787.00 $3,597.65 2026-01-01
70496 CPT CT Scan Of Blood Vessels Of Head With Contrast 50 43 $3,599.00 $3,599.00 $218.22 $3,779.00 $3,590.05 2026-01-01
70552 CPT MRI Scan Of Brain With Contrast 49 42 $3,538.00 $3,538.00 $209.78 $3,715.00 $3,529.25 2026-01-01
58180 CPT Hc Pr 58180 Partial Hysterectomy 48 42 $3,520.00 $3,520.00 $1,019.03 $3,696.00 $3,511.20 2026-01-01
44050 CPT Hc Pr 44050 Reduce Bowel Obstruction 47 42 $3,693.00 $3,693.00 $981.14 $3,693.00 $3,508.35 2026-01-01
73719 CPT MRI Scan Of Leg With Contrast 50 43 $3,472.00 $3,472.00 $209.05 $3,646.00 $3,463.70 2026-01-01
76390 CPT MRI Study For Measuring Biochemical Changes In The Brain 45 40 $3,359.00 $3,359.00 $1,098.17 $3,527.00 $3,456.46 2026-01-01
70545 CPT MRI Scan Of Blood Vessels Of Head With Contrast 50 43 $3,458.00 $3,458.00 $192.18 $3,631.00 $3,449.45 2026-01-01
19318 CPT Hc Pr 19318 Reduction Of Large Breast 48 42 $3,433.00 $3,433.00 $1,122.45 $3,605.00 $3,424.75 2026-01-01
58150 CPT Remove Uterus Cervix Via Abdomen W/wo Tubes Or Ovaries 48 42 $3,398.00 $3,398.00 $1,080.45 $3,568.00 $3,389.60 2026-01-01
77021 CPT Review By Radiologist Of MRI Guidance For Needle Placement 50 43 $3,395.00 $3,395.00 $379.96 $3,565.00 $3,386.75 2026-01-01
19303 CPT Hc Pr 19303 Mast Simple Complete 48 42 $3,394.00 $3,394.00 $1,009.90 $3,564.00 $3,385.80 2026-01-01
70336 CPT MRI Scan Of Jaw Joint 49 42 $3,388.00 $3,388.00 $216.02 $3,557.00 $3,379.15 2026-01-01
72148 CPT MRI Scan Of Lower Spinal Canal Without Contrast 50 43 $3,382.00 $3,382.00 $136.55 $3,551.00 $3,373.45 2026-01-01
57265 CPT Hc Pr 57265 Extensive Repair Of Vagina 48 42 $3,378.00 $3,378.00 $923.25 $3,547.00 $3,369.65 2026-01-01
71555 CPT MRI Scan Of Blood Vessels Of Chest 48 43 $3,359.00 $3,359.00 $377.71 $3,527.00 $3,350.65 2026-01-01
74185 CPT MRI Scan Of Blood Vessels Of Abdomen 48 43 $3,359.00 $3,359.00 $545.56 $3,527.00 $3,350.65 2026-01-01
72198 CPT MRI Scan Of Blood Vessels Of Pelvis 48 43 $3,359.00 $3,359.00 $379.61 $3,527.00 $3,350.65 2026-01-01
50940 CPT Hc Pr 50940 Deligation Ureter Cdm 48 42 $3,347.00 $3,347.00 $945.88 $3,514.00 $3,338.30 2026-01-01
73218 CPT MRI Scan Of Arm Without Contrast 50 43 $3,329.00 $3,329.00 $265.53 $3,495.00 $3,320.25 2026-01-01
73718 CPT MRI Scan Of Leg Without Contrast 50 43 $3,329.00 $3,329.00 $178.37 $3,495.00 $3,320.25 2026-01-01
27502 CPT Closed Treatment Of Broken Thigh Bone At Midportion 48 43 $3,326.00 $3,326.00 $670.63 $3,492.00 $3,317.40 2026-01-01
J3424 HCPCS Hydroxocobalamin 5 G IV Solr 46 41 $3,431.00 $3,431.00 $160.46 $3,431.00 $3,310.91 2026-01-01
70498 CPT CT Scan Of Blood Vessels Of Neck With Contrast 50 43 $3,297.00 $3,297.00 $217.85 $3,462.00 $3,288.90 2026-01-01
72191 CPT CT Blood Vessels Pelvis With/without Contrast 50 43 $3,295.00 $3,295.00 $246.82 $3,460.00 $3,287.00 2026-01-01
29827 CPT Hc Pr 29827 Shldr Arthroscop,Surg,W/Rotat Cuff Repr 48 42 $3,273.00 $3,273.00 $1,070.14 $3,437.00 $3,265.15 2026-01-01
27827 CPT Hc Pr 27827 Open Treatment Fracture Distal Tibia Only Cdm 48 42 $3,167.00 $3,167.00 $1,035.27 $7,007.06 $3,258.50 2026-01-01
78452 CPT Nuclear Medicine Myocardial Perfuse Spect 50 43 $3,243.00 $3,243.00 $380.92 $3,405.00 $3,234.75 2026-01-01
72195 CPT MRI Scan Of Pelvis Without Contrast 50 43 $3,235.00 $3,235.00 $178.73 $3,397.00 $3,227.15 2026-01-01
44960 CPT Hc Pr 44960 Appendectomy, Ruptured 48 42 $3,228.00 $3,228.00 $918.64 $3,389.00 $3,219.55 2026-01-01
73221 CPT MRI Scan Of Arm Joint Without Contrast 50 43 $3,223.00 $3,223.00 $156.96 $3,384.00 $3,214.80 2026-01-01
58550 CPT Hc Pr 58550 Laparo-asst Vaginal Hysterectomy 48 42 $3,221.00 $3,221.00 $936.37 $3,382.00 $3,212.90 2026-01-01
70551 CPT MRI Scan Of Brain Without Contrast 50 43 $3,220.00 $3,220.00 $142.79 $3,381.00 $3,211.95 2026-01-01
74181 CPT MRI Scan Of Abdomen Without Contrast 50 43 $3,217.00 $3,217.00 $142.79 $3,378.00 $3,209.10 2026-01-01
72146 CPT MRI Scan Of Middle Spinal Canal Without Contrast 50 43 $3,217.00 $3,217.00 $136.19 $3,378.00 $3,209.10 2026-01-01
52601 CPT Hc Pr 52601 Trurl Electrosurg Rescj Prostate Bleed Complete Cdm 48 42 $3,209.00 $3,209.00 $775.72 $3,369.00 $3,200.55 2026-01-01
PX-36010147 CDM Hc Operating Room Services Level 2 1st 30 Mins 45 40 $3,094.00 $3,094.00 $634.20 $3,249.00 $3,184.02 2026-01-01
PX-36010146 CDM Hc Operating Room Services Level 1 1st 30 Mins 45 40 $3,094.00 $3,094.00 $634.20 $3,249.00 $3,184.02 2026-01-01
PX-36010153 CDM Hc Operating Room Services Level 8 1st 30 Mins 45 40 $3,094.00 $3,094.00 $634.20 $3,249.00 $3,184.02 2026-01-01
PX-36010151 CDM Hc Operating Room Services Level 6 1st 30 Mins 45 40 $3,094.00 $3,094.00 $634.20 $3,249.00 $3,184.02 2026-01-01
PX-36010148 CDM Hc Operating Room Services Level 3 1st 30 Mins 45 40 $3,094.00 $3,094.00 $634.20 $3,249.00 $3,184.02 2026-01-01
PX-36010152 CDM Hc Operating Room Services Level 7 1st 30 Mins 45 40 $3,094.00 $3,094.00 $634.20 $3,249.00 $3,184.02 2026-01-01
PX-36010149 CDM Hc Operating Room Services Level 4 1st 30 Mins 45 40 $3,094.00 $3,094.00 $634.20 $3,249.00 $3,184.02 2026-01-01
PX-36010150 CDM Hc Operating Room Services Level 5 1st 30 Mins 45 40 $3,094.00 $3,094.00 $634.20 $3,249.00 $3,184.02 2026-01-01
25609 CPT Hc Pr 25609 Open Rx Distal Radius Fx, Intra-articular, 3+ Frag [25609] Cdm 48 42 $3,079.00 $3,079.00 $1,006.63 $3,831.79 $3,168.34 2026-01-01
71550 CPT MRI Scan Of Chest Without Contrast 50 43 $3,166.00 $3,166.00 $297.81 $3,324.00 $3,157.80 2026-01-01
70544 CPT MRI Scan Of Blood Vessels Of Head Without Contrast 50 43 $3,156.00 $3,156.00 $178.60 $3,314.00 $3,148.30 2026-01-01
J7298 HCPCS Hc Pr Rx Levonorgestrel IUD (Mirena) IUD 5 Yr 52 Mg 96 43 $3,258.00 $3,258.00 $798.86 $3,298.00 $3,133.10 2026-01-01
49402 CPT Hc Pr 49402 Remove Foreign Body Adbomen 48 42 $3,131.00 $3,131.00 $898.80 $3,288.00 $3,123.60 2026-01-01
J3262 HCPCS Tocilizumab 80 Mg/4ml IV Soln 138 41 $2,435.00 $2,435.00 $382.40 $7,133.00 $3,088.59 2026-01-01
71270 CPT CT Scan Of Chest Before And After Contrast 50 43 $3,083.00 $3,083.00 $154.16 $3,237.00 $3,075.15 2026-01-01
72141 CPT MRI Scan Of Upper Spinal Canal Without Contrast 50 43 $3,080.00 $3,080.00 $135.82 $3,234.00 $3,072.30 2026-01-01
Q4197 HCPCS Hc Puraply Mz 500mg 96 43 $3,132.00 $3,132.00 $72.64 $4,250.00 $3,069.36 2026-01-01
70548 CPT MRI Scan Of Blood Vessels Of Neck With Contrast 50 43 $3,062.00 $3,062.00 $197.31 $3,215.00 $3,054.25 2026-01-01
57260 CPT Hc Pr 57260 Repair Of Vagina, Combined Anteroposterior Colporrhaphy 48 42 $3,062.00 $3,062.00 $826.02 $3,215.00 $3,054.25 2026-01-01
78227 CPT Nuclear Medicine Study Of Liver And Bile Duct System 50 43 $3,036.00 $3,036.00 $381.78 $3,188.00 $3,028.60 2026-01-01
59426 CPT Hc Pr 59426 Antepartum Care Only 7/> Visits Rhc 55 42 $3,316.00 $3,316.00 $820.42 $3,316.00 $3,017.56 2026-01-01
74170 CPT CT Scan Of Abdomen Before And After Contrast 50 43 $3,000.00 $3,000.00 $217.24 $3,150.00 $2,992.50 2026-01-01
49594 CPT Hc Pr 49594 Rpr Aa Hernia 1st 3-10 Cm Ncrc8/Strangulated Cdm 48 42 $2,997.00 $2,997.00 $774.59 $3,147.00 $2,989.65 2026-01-01
19302 CPT Mastectomy Partial W/Axillary Lymphadenectomy 48 42 $2,995.00 $2,995.00 $955.36 $3,145.00 $2,987.75 2026-01-01
27759 CPT Hc Pr 27759 Tx Tibl Shft Fx Imed Implt W/wo Screws&/Cercla 48 42 $2,896.00 $2,896.00 $946.85 $7,053.77 $2,980.18 2026-01-01
47480 CPT Hc Pr 47480 Incision Of Gallbladder 48 42 $2,950.00 $2,950.00 $926.87 $3,098.00 $2,943.10 2026-01-01
72194 CPT CT Scan Of Pelvis Before And After Contrast 50 43 $2,936.00 $2,936.00 $216.51 $3,083.00 $2,928.85 2026-01-01
35206 CPT Hc Pr 35206 Repair Blood Vessel Lesion, Upper Extremity 95 42 $3,046.00 $3,046.00 $820.73 $3,082.00 $2,927.90 2026-01-01
23420 CPT Hc Pr 23420 Repair Of Shoulder 48 42 $2,897.00 $2,897.00 $947.16 $3,042.00 $2,921.38 2026-01-01
77049 CPT MRI Scan Of Both Breasts 48 43 $2,879.00 $2,879.00 $154.19 $3,023.00 $2,871.85 2026-01-01
70547 CPT MRI Scan Of Blood Vessels Of Neck Without Contrast 50 43 $2,871.00 $2,871.00 $178.97 $3,015.00 $2,864.25 2026-01-01
54360 CPT Hc Pr 54360 Plastic Rpr Penis Correct Angulation Cdm 48 42 $2,840.00 $2,840.00 $770.26 $2,982.00 $2,832.90 2026-01-01
J7165 HCPCS Prothrombin Complex Human-lans 500 Units IV Solr 46 41 $2,872.00 $2,872.00 $720.00 $2,933.00 $2,830.35 2026-01-01
23615 CPT Hc Pr 23615 Treat Humerus Fracture Open 48 42 $2,738.00 $2,738.00 $895.16 $7,218.59 $2,817.50 2026-01-01
28805 CPT Hc Pr 28805 Amputation Foot Transmetarsal 48 42 $2,823.00 $2,823.00 $755.32 $2,964.00 $2,815.80 2026-01-01
27822 CPT Hc Pr 27822 Open Tx Of Ankle Fracture Without Fixation Of Posterior 47 42 $2,870.00 $2,870.00 $893.60 $3,686.63 $2,812.60 2026-01-01
49659 CPT Hc Pr 49659 Laparoscopy Procedure Hernia Repair 38 34 $2,868.00 $2,868.00 $892.98 $2,868.00 $2,810.64 2026-01-01
44800 CPT Hc Pr 44800 Excision Of Bowel Pouch 48 42 $2,817.00 $2,817.00 $817.68 $2,958.00 $2,810.10 2026-01-01
73706 CPT CT Scan Of Blood Vessels Of Neck With Contrast 50 43 $2,773.00 $2,773.00 $262.47 $2,912.00 $2,766.40 2026-01-01
58700 CPT Hc Pr 58700 Removal Of Fallopian Tube 47 42 $2,904.00 $2,904.00 $850.26 $2,904.00 $2,758.80 2026-01-01
36573 CPT Insert Tube For IVw/imaging Guidance =>5yrs 48 43 $2,736.00 $2,736.00 $241.08 $2,873.00 $2,729.35 2026-01-01
27438 CPT Hc Pr 27438 Revise Kneecap With Implant 47 42 $2,758.00 $2,758.00 $858.73 $6,780.42 $2,702.84 2026-01-01
52648 CPT Hc Pr 52648 Laser Vaporization Of Prostate For Urine Flow Cdm 48 42 $2,701.00 $2,701.00 $740.62 $2,836.00 $2,694.20 2026-01-01
73721 CPT MRI Scan Of Leg Joint Without Contrast 50 43 $2,689.00 $2,689.00 $156.60 $2,823.00 $2,681.85 2026-01-01
J7168 HCPCS Prothrombin Complex Conc Human 500 Units IV Kit 46 41 $2,777.00 $2,777.00 $864.65 $2,777.00 $2,679.81 2026-01-01
27641 CPT Hc Pr 27641 Partial Removal Of Fibula 48 42 $2,671.00 $2,671.00 $708.72 $2,805.00 $2,664.75 2026-01-01
27266 CPT Closed Treat Dislocated Hip Prosthesis Under Anesthesia 48 43 $2,657.00 $2,657.00 $670.63 $2,790.00 $2,650.50 2026-01-01
49521 CPT Hc Pr 49521 Rpr Recrt Ingun Hernia Any Age Incarcerated Cdm Cdm 48 42 $2,655.00 $2,655.00 $756.63 $2,788.00 $2,648.60 2026-01-01
23412 CPT Hc Pr 23412 Repair Rotator Cuff Chronic 48 42 $2,553.00 $2,553.00 $834.76 $2,808.67 $2,627.38 2026-01-01
27814 CPT Hc Pr 27814 Open Treatment Of Ankle Fracture 48 42 $2,552.00 $2,552.00 $822.33 $3,653.92 $2,626.40 2026-01-01
SUP-AR-3210-0044 CDM Nanoneedle Scope, 180mm 43 38 $2,676.00 $2,676.00 $833.20 $2,676.00 $2,622.48 2026-01-01
23675 CPT Hc Pr 23675 Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj Cdm 48 42 $2,619.00 $2,619.00 $549.81 $2,750.00 $2,612.50 2026-01-01
J2357 HCPCS Omalizumab 150 Mg/ml Subq Sosy 92 41 $2,642.00 $2,642.00 $612.86 $3,875.00 $2,589.16 2026-01-01
58662 CPT Hc Pr 58662 Laparoscopy Excise Lesions 48 42 $2,593.00 $2,593.00 $756.19 $2,723.00 $2,586.85 2026-01-01
SUP-AR-3210-0043 CDM Nanoneedle Scope, 125mm 43 38 $2,625.00 $2,625.00 $817.32 $2,625.00 $2,572.50 2026-01-01
13160 CPT Late Closure Of Wound Extensive Or Complicated 48 42 $2,577.00 $2,577.00 $784.87 $2,706.00 $2,570.70 2026-01-01
47563 CPT Hc Pr 47563 Laparoscopy Cholecystectomy/Graph 48 42 $2,569.00 $2,569.00 $756.73 $2,697.00 $2,562.15 2026-01-01
27698 CPT Hc Pr 27698 Repair Secondary Disrupted Ligament Ankle Coltrl Cdm 47 42 $2,588.00 $2,588.00 $689.52 $3,664.10 $2,536.24 2026-01-01
28737 CPT Hc Pr 28737 Arthrd W/Tdn Lngth&Advmnt Tarsl Nvclr-cuneifor 48 42 $2,450.00 $2,450.00 $741.41 $8,105.45 $2,521.54 2026-01-01
J0490 HCPCS Belimumab 120 Mg IV Solr 92 41 $4,266.00 $4,266.00 $527.16 $6,013.00 $2,519.00 2026-01-01
27252 CPT Closed Treatment Of Dislocated Hip Under Anesthesia 96 43 $3,317.00 $3,317.00 $656.63 $3,483.00 $2,514.68 2026-01-01
27540 CPT Hc Pr 27540 Treat Knee Fracture 48 42 $2,516.00 $2,516.00 $822.61 $2,642.00 $2,509.90 2026-01-01
23410 CPT Hc Pr 23410 Open Repair Of Rotator Cuff Acute Cdm 48 42 $2,438.00 $2,438.00 $797.08 $2,808.67 $2,508.80 2026-01-01
70470 CPT CT Scan Of Head Or Brain Before And After Contrast 50 43 $2,507.00 $2,507.00 $127.75 $2,632.00 $2,500.40 2026-01-01
21554 CPT Hc Pr 21554 Exc Neck Tum Deep 5+ Cm 48 42 $2,479.00 $2,479.00 $778.48 $2,603.00 $2,472.85 2026-01-01
73725 CPT MRI Scan Of Blood Vessels Of Leg 48 43 $2,478.00 $2,478.00 $378.07 $2,602.00 $2,471.90 2026-01-01
27045 CPT Hc Pr 27045 Exc Hip/Pelv Tum Deep 5 Cm/> 48 42 $2,475.00 $2,475.00 $782.46 $2,599.00 $2,469.05 2026-01-01
21933 CPT Hc Pr 21933 Exc Tumor Soft Tiss Back/Flank Subfascial 5 Cm/> Cdm Cdm 48 42 $2,475.00 $2,475.00 $783.07 $2,599.00 $2,469.05 2026-01-01
74160 CPT CT Scan Of Abdomen With Contrast 50 43 $2,471.00 $2,471.00 $191.57 $2,595.00 $2,465.25 2026-01-01
78803 CPT Nuclear Medicine Spect 1 Area/single Acquisition 49 42 $2,471.00 $2,471.00 $317.12 $2,595.00 $2,465.25 2026-01-01
72126 CPT CT Scan Of Upper Spine With Contrast 50 43 $2,470.00 $2,470.00 $125.18 $2,594.00 $2,464.30 2026-01-01
71260 CPT CT Scan Of Chest With Contrast 50 43 $2,468.00 $2,468.00 $125.92 $2,591.00 $2,461.45 2026-01-01
49000 CPT Hc Pr 49000 Exploration Of Abdomen 48 42 $2,463.00 $2,463.00 $805.18 $2,586.00 $2,456.70 2026-01-01
57240 CPT Hc Pr 57240 Repair Bladder & Vagina 48 42 $2,454.00 $2,454.00 $653.26 $2,577.00 $2,448.15 2026-01-01
28730 CPT Hc Pr 28730 Fusion Foot Bones,Midtarsal,Multi 48 42 $2,377.00 $2,377.00 $777.15 $7,884.30 $2,446.08 2026-01-01
28615 CPT Hc Pr 28615 Open Treatment Tarsometatarsal Joint Dislocation Cdm 48 42 $2,377.00 $2,377.00 $777.15 $3,588.49 $2,446.08 2026-01-01
72132 CPT CT Scan Of Lower Spine With Contrast 50 43 $2,449.00 $2,449.00 $125.92 $2,571.00 $2,442.45 2026-01-01
25608 CPT Hc Pr 25608 Open Rx Distal Radius Fx, Intra-articular, 2 Frag [25608] Cdm 48 42 $2,371.00 $2,371.00 $775.29 $3,811.43 $2,440.20 2026-01-01
J7325 HCPCS Hylan G-f 20 48 Mg/6ml Intra-articu Sosy 94 43 $2,486.00 $2,486.00 $9.09 $2,607.00 $2,436.28 2026-01-01
23140 CPT Hc Pr 23140 Excision Or Curettage Of Bone 48 42 $2,438.00 $2,438.00 $604.15 $2,560.00 $2,432.00 2026-01-01
93306 CPT Ultrasound Heart W/color Blood Flow, Rate, Direction 48 43 $2,429.00 $2,429.00 $257.26 $2,550.00 $2,422.50 2026-01-01
58661 CPT Hc Pr 58661 Laparoscopy Remove Adnexa 48 42 $2,423.00 $2,423.00 $691.02 $2,544.00 $2,416.80 2026-01-01
57250 CPT Hc Pr 57250 Repair Rectum & Vagina 48 42 $2,423.00 $2,423.00 $654.80 $2,544.00 $2,416.80 2026-01-01
72193 CPT CT Scan Of Pelvis With Contrast 50 43 $2,395.00 $2,395.00 $193.04 $2,515.00 $2,389.25 2026-01-01
24575 CPT Hc Pr 24575 Open Tx Humeral Epicondylar Fracture Cdm 47 42 $2,427.00 $2,427.00 $755.67 $6,792.79 $2,378.46 2026-01-01
27230 CPT Hc Pr 27230 Cltx Fem Fx Prox End Nck Without Manj Cdm 48 42 $2,381.00 $2,381.00 $103.14 $2,500.00 $2,375.00 2026-01-01
47562 CPT Hc Pr 47562 Laparoscopic Cholecystectomy 48 42 $2,370.00 $2,370.00 $696.45 $2,489.00 $2,364.55 2026-01-01
27339 CPT Hc Pr 27339 Exc Thigh/Knee Tum Dep 5cm/> 48 42 $2,360.00 $2,360.00 $771.55 $2,478.00 $2,354.10 2026-01-01
44950 CPT Hc Pr 44950 Appendectomy 48 42 $2,355.00 $2,355.00 $674.05 $2,473.00 $2,349.35 2026-01-01
J0248 HCPCS Remdesivir 100 Mg IV Solr 46 41 $2,237.00 $2,237.00 $231.46 $2,429.00 $2,343.99 2026-01-01
15839 CPT Hc Pr 15839 Excise Excessive Skin Tissue Other Area 48 42 $2,332.00 $2,332.00 $762.52 $2,449.00 $2,326.55 2026-01-01
26123 CPT Hc Pr 26123 Fasct Prtl Palmar 1 Dgt Prox Iphal Jt W/wo Rpr Cdm 48 42 $2,256.00 $2,256.00 $737.61 $2,529.38 $2,321.62 2026-01-01
78451 CPT Nuclear Medicine Myocardial Perfuse Spect 50 43 $2,318.00 $2,318.00 $240.09 $2,434.00 $2,312.30 2026-01-01
73201 CPT CT Scan Of Arm With Contrast 50 43 $2,313.00 $2,313.00 $162.96 $2,429.00 $2,307.55 2026-01-01
27524 CPT Hc Pr 27524 Open Tx Patllr Fx W/Int Fixj/Patllc&Soft Tiss Repair Cdm 48 42 $2,305.00 $2,305.00 $753.49 $2,420.00 $2,299.00 2026-01-01
53235 CPT Hc Pr 53235 Exc Urethral Diverticulum Spx Male Cdm 48 42 $2,303.00 $2,303.00 $679.58 $2,418.00 $2,297.10 2026-01-01
27784 CPT Hc Pr 27784 Open Treatment Proximal Fibula/Shaft Fracture 47 42 $2,338.00 $2,338.00 $727.96 $2,808.67 $2,291.24 2026-01-01
49614 CPT Hc Pr 49614 Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated Cdm 48 42 $2,282.00 $2,282.00 $594.25 $2,396.00 $2,288.26 2026-01-01
19371 CPT Hc Pr 19371 Removal Of Breast Capsule 48 42 $2,274.00 $2,274.00 $743.53 $2,388.00 $2,268.60 2026-01-01
29880 CPT Hc Pr 29880 Arthrs Knee W/Meniscectomy Med&Lat W/Shaving 48 42 $2,274.00 $2,274.00 $608.26 $2,388.00 $2,268.60 2026-01-01
78278 CPT Nuclear Medicine Study To Assess Blood Loss 50 43 $2,267.00 $2,267.00 $234.87 $2,380.00 $2,261.00 2026-01-01
78315 CPT Nuclear Medicine Bone/joint 3 Phase 50 43 $2,265.00 $2,265.00 $237.22 $2,378.00 $2,259.10 2026-01-01
15120 CPT Hc Pr 15120 Skn Splt A-grft Fac/Nck/Hf/G 1st 100 Sq Cm 48 42 $2,256.00 $2,256.00 $737.61 $2,369.00 $2,250.55 2026-01-01
27634 CPT Hc Pr 27634 Exc Leg/Ankle Tum Deep 5 Cm/> 48 42 $2,255.00 $2,255.00 $717.32 $2,368.00 $2,249.60 2026-01-01
24073 CPT Hc Pr 24073 Ex Arm/Elbow Tum Deep > 5 Cm 48 42 $2,253.00 $2,253.00 $736.68 $2,366.00 $2,247.70 2026-01-01
23073 CPT Hc Pr 23073 Exc Shoulder Tum Deep 5 Cm/> 48 42 $2,253.00 $2,253.00 $736.68 $2,366.00 $2,247.70 2026-01-01
22901 CPT Hc Pr 22901 Exc Back Tum Deep 5+ Cm 48 42 $2,248.00 $2,248.00 $708.05 $2,360.00 $2,242.00 2026-01-01
Q5108 HCPCS Pegfilgrastim-jmdb 6 Mg/0.6ml Subq Sosy 46 41 $5,261.00 $5,261.00 $722.67 $2,321.00 $2,239.76 2026-01-01
24538 CPT Hc Pr 24538 Percutaneous Fixation Humeral 48 42 $2,176.00 $2,176.00 $711.46 $2,808.67 $2,239.30 2026-01-01
J7300 HCPCS Paragard Intrauterine Copper Intrauterine IUD 96 43 $2,273.00 $2,273.00 $557.34 $3,160.00 $2,227.54 2026-01-01
23515 CPT Hc Pr 23515 Open Tx Clavicular Fracture Internal Fixation 48 42 $2,158.00 $2,158.00 $705.54 $3,688.33 $2,220.68 2026-01-01
Q5103 HCPCS Infliximab-dyyb 100 Mg IV Solr 46 41 $2,270.00 $2,270.00 $92.40 $2,295.00 $2,214.68 2026-01-01
78226 CPT Nuclear Medicine Study Of Liver And Bile Duct System 50 43 $2,220.00 $2,220.00 $280.81 $2,331.00 $2,214.45 2026-01-01
28005 CPT Hc Pr 28005 Incision Bone Cortex Foot 47 42 $2,331.00 $2,331.00 $619.95 $2,331.00 $2,214.45 2026-01-01
29826 CPT Hc Pr 29826 Arthroscopy Shoulder W/Coracoacrm Ligmnt Release 48 42 $2,207.00 $2,207.00 $179.99 $2,317.00 $2,201.15 2026-01-01
49553 CPT Hc Pr 49553 Repair Femoral Hernia Initial Blocked 48 42 $2,206.00 $2,206.00 $668.71 $2,316.00 $2,200.20 2026-01-01
45171 CPT Hc Pr 45171 Excise Rectal Tumor Transanal Approach 47 42 $2,314.00 $2,314.00 $660.10 $2,314.00 $2,198.30 2026-01-01
25607 CPT Hc Pr 25607 Optx Dstl Radl X-artic Fx/Epiphysl Sep Cdm 48 42 $2,129.00 $2,129.00 $695.89 $3,807.56 $2,190.30 2026-01-01
J7296 HCPCS Levonorgestrel 19.5 Mg Intrauterine IUD 54 24 $3,008.00 $3,008.00 $1,026.87 $3,369.00 $2,189.85 2026-01-01
90375 HCPCS Rabies Immune Globulin 300 Unit/ml Injection Soln (wrapper) 81 24 $2,231.00 $2,231.00 $537.34 $8,921.00 $2,186.38 2026-01-01
27818 CPT Closed Treatment Of 3 Broken Lower Leg Bones At Ankle 48 43 $2,189.00 $2,189.00 $542.04 $2,298.00 $2,183.10 2026-01-01
26121 CPT Hc Pr 26121 Fasct Palm W/wo Z-plasty Tissue Reargmt/Skn Grft Cdm 47 42 $2,293.00 $2,293.00 $654.03 $2,293.00 $2,178.35 2026-01-01
21932 CPT Hc Pr 21932 Exc Back Tum Deep < 5 Cm Subq 48 42 $2,184.00 $2,184.00 $708.47 $2,293.00 $2,178.35 2026-01-01
58660 CPT Hc Pr 58660 Laparoscopy Lysis 47 42 $2,210.00 $2,210.00 $688.11 $2,288.26 $2,165.80 2026-01-01
72129 CPT CT Scan Of Middle Spine With Contrast 50 43 $2,170.00 $2,170.00 $126.65 $2,279.00 $2,165.05 2026-01-01
19301 CPT Hc Pr 19301 Mastectomy Partial Cdm Cdm 48 42 $2,170.00 $2,170.00 $695.85 $2,279.00 $2,165.05 2026-01-01
29898 CPT Hc Pr 29898 Arthroscopy Ankle Surgical Debridement Extensive Cdm 48 42 $2,168.00 $2,168.00 $605.58 $2,276.00 $2,162.20 2026-01-01
SUP-ABS-2012-02 CDM Allosync Dbm Putty, 2.5cc 43 38 $2,202.00 $2,202.00 $685.61 $2,202.00 $2,157.96 2026-01-01
77047 CPT MRI Scan Of Both Breasts Without Contrast 50 43 $2,160.00 $2,160.00 $161.13 $2,268.00 $2,154.60 2026-01-01
50590 CPT Shock Wave Crushing Of Kidney Stones 96 43 $14,265.00 $14,265.00 $612.89 $14,978.00 $2,148.00 2026-01-01
27752 CPT Closed Treatment Of Middle Part Of Broken Shin Bone 48 43 $2,153.00 $2,153.00 $566.81 $2,261.00 $2,147.95 2026-01-01
J1561 HCPCS Gamunex-c 1 Gm/10ml Injection Soln 276 41 $2,188.00 $2,188.00 $78.42 $12,498.00 $2,144.24 2026-01-01
J1745 HCPCS Infliximab 100 Mg IV Solr 46 41 $2,394.00 $2,394.00 $244.20 $2,221.00 $2,143.26 2026-01-01
J0881 HCPCS Darbepoetin Alfa 200 Mcg/ml Injection Soln 92 41 $3,899.00 $3,899.00 $142.80 $3,899.00 $2,127.00 2026-01-01
49507 CPT Hc Pr 49507 Repair Inguinal Hernia Initial Block >5 Yr 48 42 $2,131.00 $2,131.00 $622.07 $2,238.00 $2,126.10 2026-01-01
15100 CPT Hc Pr 15100 Skin Splt Grft Trnk/Arm/Leg First 100 Sq Cm Or Less 48 42 $2,122.00 $2,122.00 $693.71 $2,228.00 $2,124.64 2026-01-01
28297 CPT Hc Pr 28297 Corrj Hallux Valgus W/Sesmdc W/1metar Medial Cnf 48 42 $2,065.00 $2,065.00 $649.14 $7,855.92 $2,124.64 2026-01-01
28740 CPT Hc Pr 28740 Arthrodesis Midtarsometatarsal Single Joint 48 42 $2,064.00 $2,064.00 $665.28 $4,037.04 $2,123.66 2026-01-01
28299 CPT Hc Pr 28299 Corrj Hallux Valgus W/Sesmdc W/2 Osteot Cdm 48 42 $2,064.00 $2,064.00 $647.34 $3,581.46 $2,123.66 2026-01-01
53850 CPT Hc Pr 53850 Prostatic Microwave Thermotx 48 42 $2,120.00 $2,120.00 $384.76 $2,226.00 $2,114.70 2026-01-01
72131 CPT CT Scan Of Lower Spine Without Contrast 50 43 $2,118.00 $2,118.00 $93.03 $2,224.00 $2,112.80 2026-01-01
23655 CPT Closed Treatment Of Dislocated Shoulder 48 43 $2,118.00 $2,118.00 $305.09 $2,224.00 $2,112.80 2026-01-01
27562 CPT Closed Treatment Of Dislocated Kneecap Under Anesthesia 48 43 $2,115.00 $2,115.00 $103.14 $2,221.00 $2,109.95 2026-01-01
72125 CPT CT Scan Of Upper Spine Without Contrast 50 43 $2,114.00 $2,114.00 $93.77 $2,220.00 $2,109.00 2026-01-01
72192 CPT CT Scan Of Pelvis Without Contrast 50 43 $2,111.00 $2,111.00 $92.30 $2,217.00 $2,106.15 2026-01-01
73701 CPT CT Scan Of Leg With Contrast Material 50 43 $2,100.00 $2,100.00 $125.92 $2,205.00 $2,094.75 2026-01-01
26113 CPT Hc Pr 26113 Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> Cd 47 42 $2,199.00 $2,199.00 $597.12 $2,199.00 $2,089.05 2026-01-01
Q5118 HCPCS Bevacizumab-bvzr 100 Mg/4ml IV Soln 46 41 $2,164.00 $2,164.00 $199.16 $2,164.00 $2,088.26 2026-01-01
27792 CPT Hc Pr 27792 Open Tx Distal Fibular Fracture Lat Malleolus 48 42 $2,026.00 $2,026.00 $662.26 $3,676.94 $2,084.46 2026-01-01
71250 CPT CT Scan Of Chest Without Contrast 50 43 $2,081.00 $2,081.00 $92.67 $2,185.00 $2,075.75 2026-01-01
72128 CPT CT Scan Of Middle Spine Without Contrast 50 43 $2,066.00 $2,066.00 $93.40 $2,169.00 $2,060.55 2026-01-01
52240 CPT Hc Pr 52240 Cystourethroscopy W/Dest &/Rmvl Tumor Large Cdm 48 42 $2,061.00 $2,061.00 $411.33 $2,164.00 $2,055.80 2026-01-01
70487 CPT CT Scan Of Face With Contrast 50 43 $2,044.00 $2,044.00 $111.25 $2,146.00 $2,038.70 2026-01-01
70491 CPT CT Scan Of Soft Tissue Of Neck With Contrast 50 43 $2,044.00 $2,044.00 $133.99 $2,146.00 $2,038.70 2026-01-01
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